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710 S Main Street

Troy, IL 62294

618-505-7575

Dog Training Intake Form

Please fill out the following form to help us understand your dog so we can create the best plan possible.

First Name

Last Name

Pet's Name

Has your dog ever been trained before? If yes, with what methods or tools? (pack leader, dominance, shock collar, prong collars, positive, etc)

Has your dog ever shown aggression to humans? If yes, please explain.

Has your dog ever guarded food, toys, or chews from other dogs or humans? If yes, please explain?

What is the main behavior or training problem that you have with your dog?

How often do you exercise your dog?

What exercises do you do with your dog?

Does your dog use the bathroom in the house?

Yes

No

Does your dog jump on you or others without being invited?

Yes

No

If yes, do you want this issue addressed?

Yes

No

Does your dog bark at you?

Yes

No

Does this dog excessively bark? If so, can you thoroughly explain at what and when?

Do you have issues with your dog trying to take food off of counters or tables?

Yes

No

Does your dog bark at, lunge at, or pull toward other dogs on walks?

Yes

No

Is this dog crate trained?

Yes

No

What types of rewards and punishment have you used in the past on this dog?

Praise

Clicker or other marker

Toys

Verbal reprimand (No, eh-eh)

Yelling

Grab or shake

Spanking or hitting

Alpha roll (hold dog down on back)

Hit with an item

Sound (penny shakers, banging pots & pans, etc.)

Spray bottle

Growl at dog

Withhold attention

Yank on leash

Prong collar

Time out in crate or isolated location

Shock collar

None of these

What cues have you already taught your dog?

Please list in order from most important to least important, the cues you'd like to achieve from training? This include sit, sit stay, down, down stay, ringing bells to go outside, go to your bed, leave it, coming when called, walking well on a leash, off, drop it

Please list any other goals you'd like to accomplish from training.

Please list any other concerns you have about your dog?

Please list and explain any medical issues or allergies including food that your dog has

I understand that I will be required to complete weekend homework and if I don't put in the work required of me at home, I may not get as far in training as I had originally wanted to. I also understand that every dog is different and learns at their own pace and no training program is guaranteed.

Thanks for submitting!

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